Hi Steve123, At face value, this is a very disturbing story. Some questions I have are: Are you certain this patient has no indications for Vanco? Are you certain that the physician was being "honest" vs. making a sarcastic, jaded comment? If the s...
Anna Flaxis replied to KathyDay's topic in Emergency
What harm have you seen swallowed nipple or navel rings cause? I'm trying to understand this, because it's not a button battery or a magnet. It's a small foreign body that will most likely pass with no adverse sequelae. Am I missing something? I'...
Anna Flaxis replied to ED_RN52's topic in Emergency
Totally normal! If trial by fire works for you, you'll do well. Give it six months to a year before you don't feel like a complete idiot, cry your whole drive home, and lie awake at night re-living all of the things you did wrong. You'll do great!
Anna Flaxis replied to peaches88's topic in Emergency
I would have made this patient a 2, but not because of the reason cited by your supervisor. Your supervisor is playing a dangerous game making triage decisions based on how often the patient presents. The reason I would have made this patient a 2 i...
Anna Flaxis replied to KathyDay's topic in Emergency
I think it's appropriate to have patients expressing SI/HI dress down and to remove personal belongings from the room. This can include removing jewelry if the jewelry is of a nature where it could be used to cause harm to self or others. However, ...
Anna Flaxis replied to nursesmatter's topic in General Nursing
What??? Why not? It is completely within your scope of practice as a professional R.N. to provide this information. Granted, I might advise taking the family members aside and gathering more information about why they feel the need to deceive their l...
Anna Flaxis replied to old&improved's topic in General Nursing
I think it really depends on the way this is implemented. I see nothing wrong with an action plan, per se. If the director is participating in a supportive manner to assist the employee in coming up with an action plan, assisting with the formattin...
Anna Flaxis replied to ashrnbsn12's topic in General Nursing
Words of wisdom: It's normal to feel like a complete incompetent idiot as a new grad. Take your co-workers' "ambushings" as opportunities for improvement. Pick yourself up, dust yourself off, and come back and do it again the next day.
Anna Flaxis replied to nursebeth6's topic in General Nursing
Well, then there ya go. I would suggest applying to an agency, but I have really strong feelings about new grads taking agency work, so I won't. Good luck to you!
Hi, I've been on both ends of this. More than once when I was a CNA did the RN say within my earshot that "The CNA will do that" when they were in the freakin' room. More than once have I changed the soiled bed of a dependent patient *by myself*. D...
